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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">919</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2022-30-3-448-454</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The medical rehabilitation: planning work load and number of positions</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Schipova</surname><given-names>V. M.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Mirgorodskaya</surname><given-names>O. V.</given-names></name><bio></bio><email>omirgorodskaya@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Shchepin</surname><given-names>V. O.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health</aff><pub-date date-type="epub" iso-8601-date="2022-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2022</year></pub-date><volume>30</volume><issue>3</issue><fpage>448</fpage><lpage>454</lpage><history><pub-date date-type="received" iso-8601-date="2022-06-18"><day>18</day><month>06</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2022,</copyright-statement><copyright-year>2022</copyright-year></permissions><abstract>The article presents the results of analysis of normative legal documents and their changes related to planning of volume of medical care in “medical rehabilitation” profile. The calculation of planned normative number of beds of this profile from 2014 to 2021 is presented according to the number of bed-days and planned beds turnover. The number of arithmetic errors in planned indices of specialized medical care in hospital conditions for medical rehabilitation is demonstrated in the letters of the Minzdrav of Russia related to formation and economic validation of territorial program of state guarantees. So, significant decrease (by 44%) in recommended volumes in 2021 contradicts data presented in the Decree of the Government the Russian Federation. The violations of nomenclatures of positions of medical workers, double standard of the number of positions for day-and-night work are defects of vast majority of Orders about Procedures of provision of medical care that may testify severe problems in actual health planning. At the same time, such changes in Orders on Procedures of organizing medical rehabilitation as division into adults and children, alterations of set of units, staging in provision of medical care and corresponding staff standards, increasing of standard number of positions should result in improvement of quality of medical rehabilitation, including its implementation at early stages and expanding possibilities of rehabilitation without hospitalization related to organization of day hospital.</abstract><kwd-group xml:lang="en"><kwd>medical rehabilitation</kwd><kwd>labor rationing</kwd><kwd>planning medical care</kwd><kwd>bed turnover</kwd><kwd>bed-day</kwd><kwd>standard</kwd><kwd>number of positions</kwd><kwd>staffing and standard provision</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>медицинская реабилитация</kwd><kwd>нормирование труда</kwd><kwd>планирование объема медицинской помощи</kwd><kwd>оборот койки</kwd><kwd>койко-день</kwd><kwd>нормативы численности должностей</kwd><kwd>штатно-нормативная обеспеченность</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Шипова В. М. (ред.). Организация и технология нормирования труда в здравоохранении. М.: ГЭОТАР-Медиа; 2018. С. 41-9.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Шипова В. М., Берсенева Е. А., Михайлов Д. Ю. Актуальные вопросы планирования численности должностей при разных режимах работы: Учебное пособие. М.: ООО «Светлица»; 2020. 144 с.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Шипова В. М., Берсенева Е. А. (ред.). Средние и младшие медицинские работники: нормативы численности, методики расчетов. М.: ГЭОТАР-Медиа; 2020. 240 с.</mixed-citation></ref></ref-list></back></article>
